Hello Sir, My Father Is Addicted To Tobacco For Last

Posted on Sun, 22 Dec 2019

Question: Hello Sir,

My father is addicted to tobacco for last 35 years. He is not willing to quit but me and my mother want him to quit. Please help how can we proceed?

Answered by Dr. Dr. Soujanya (29 minutes later)

Brief Answer:
I would like to know details about his pattern of consumption.

Detailed Answer:
Hi,
Welcome to ask a doctor service,

I have gone through your query in detail and can certainly understand your concern towards your father addiction of tobacco.

Can you please let me know some more details about his tobacco addiction such as...how long he has been started??
Mode of consumption?
If cigarettes...how many per day???
Any other substance abuse like alcohol??

Please provide these details to help you better.
Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Soujanya (42 hours later)

Following are required details

Can you please let me know some more details about his tobacco addiction such as...how long he has been started?? -- around 40 years back. At his age of 25
Mode of consumption? -- Tobacco chewing typically we call "mawa" in XXXXXXX it contains tobacco,beetelnut. He keeps in his mouth whole day and keep spitting whole day
If cigarettes...how many per day??? - No ciggarattes ma`m
Any other substance abuse like alcohol?? No alcohol ma`m

Answered by Dr. Dr. Soujanya (54 minutes later)

Brief Answer:
My suggestion.

Detailed Answer:
Hi
Welcome back,

I have gone through all your details.

He needs to be detoxified nicotine chewing gums and medication varenicline.

For relapse prevention, he has to be added with anti craving agents like topiramate.

If he has severe withdrawal symptoms like excessive sweating, nervousness, sleeplessness, he needs to be treated under supervision.

Hope this information would help you.
Thank you.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (44 hours later)

Good Morning Ma`m,

Thanks for reply.
Can you please provide me detail plan?
1. How to take each medicine?
2. For how many days and dose?
3. Can you please provide prescription?

Answered by Dr. Dr. Soujanya (48 minutes later)

Brief Answer:
It mainly depends on quantity of consumption at the latest.

Detailed Answer:
Hi,
Welcome back,

I would like to know when was his last consumption of tobacco, and what was the quantity, to calculate the dosage of prescribed medications.

Once , detoxification is done, then follows relapse prevention.

I would like you to know that prescription can not be provided in this platform, as you can consult through live session if required.

Hope you understood the information.
Thank you.

Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Nagamani Ng